Provider Demographics
NPI:1720264013
Name:BAY CITY MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:BAY CITY MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JO
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SELLS
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED SHOE FITTE
Authorized Official - Phone:251-964-8900
Mailing Address - Street 1:15340A COUNTY ROAD 66
Mailing Address - Street 2:
Mailing Address - City:LOXLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36551-4130
Mailing Address - Country:US
Mailing Address - Phone:251-964-8900
Mailing Address - Fax:251-626-8891
Practice Address - Street 1:15340A COUNTY ROAD 66
Practice Address - Street 2:
Practice Address - City:LOXLEY
Practice Address - State:AL
Practice Address - Zip Code:36551-4130
Practice Address - Country:US
Practice Address - Phone:251-964-8900
Practice Address - Fax:251-626-8891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL765332BC3200X, 332BX2000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL900646OtherALPHARMACY O2 SUPPLIER
AL765OtherHM MEDICAL EQUIP PROVIDER
AL900646OtherALPHARMACY O2 SUPPLIER